Culturally sensitive stepped care for adolescent refugees: efficacy and cost–utility of a multicentric randomized controlled trial DOI Creative Commons
Edgar Höhne, Kerem Böge, Carine Karnouk

и другие.

European Child & Adolescent Psychiatry, Год журнала: 2023, Номер 33(2), С. 581 - 593

Опубликована: Март 16, 2023

Adolescent refugees and asylum seekers (ARAS) are highly vulnerable to mental health problems. Stepped care models (SCM) culturally sensitive therapies offer promising treatment approaches effectively provide necessary medical psychological support. To our knowledge, we were the first investigate whether a SCM will reduce symptoms of depression PTSD in ARAS more efficiently than as usual (TAU). We conducted multicentric, randomized, controlled rater-blinded trial across Germany with between ages 14 21 years. Participants (N = 158) stratified by their level depressive symptom severity then equally randomized either or TAU. Depending on level, participants allocated tailored interventions. Symptom changes assessed for (PHQ) (CATS) at four time points, primary end point post-intervention after 12 weeks. Based an intention-to-treat sample, used linear mixed model approach main statistical analyses. Further evaluations included cost-utility analyses, sensitivity follow-up-analyses, response remission rates subgroup analysis. found significant reduction PHQ (d 0.52) CATS 0.27) scores both groups. However, there was no difference Cost-utility analyses indicated that generated greater when measured quality-adjusted life years compared Subgroup analysis revealed different effects interventions depending outcome measure. Although sensitive, SCMs did not prove be effective change represent cost-effective alternative mentally burdened ARAS. Our research contributes optimization clinical productivity improvement therapeutic Disorder-specific should further investigated.

Язык: Английский

A systematic review of socio-ecological factors contributing to risk and protection of the mental health of refugee children and adolescents DOI
Florian Scharpf, Elisa Kaltenbach, Angela Nickerson

и другие.

Clinical Psychology Review, Год журнала: 2020, Номер 83, С. 101930 - 101930

Опубликована: Окт. 20, 2020

Язык: Английский

Процитировано

159
Mental Health of Refugee Children and Youth: Epidemiology, Interventions, and Future Directions DOI Creative Commons
Rochelle L. Frounfelker, Diana Miconi,

Jordan Farrar

и другие.

Annual Review of Public Health, Год журнала: 2020, Номер 41(1), С. 159 - 176

Опубликована: Янв. 8, 2020

The number of refugee youth worldwide receives international attention and is a top priority in both academic political agendas. This article adopts critical eye summarizing current epidemiological knowledge mental health as well interventions aimed to prevent or reduce problems among children adolescents high- low-to-middle-income countries. We highlight challenges limitations extant literature present potential opportunities recommendations child psychiatric epidemiology services research for moving forward. In light the mounting xenophobic sentiments we are presently witnessing across societies, argue that, first step, all intervention should advocate social justice guarantee safety respect basic human rights populations during their journey resettlement. A constructive dialogue between scholars policy makers warranted.

Язык: Английский

Процитировано

96
Mental Health of Refugee and Non-refugee Migrant Young People in European Secondary Education: The Role of Family Separation, Daily Material Stress and Perceived Discrimination in Resettlement DOI
Caroline Spaas, An Verelst, Ines Devlieger

и другие.

Journal of Youth and Adolescence, Год журнала: 2021, Номер 51(5), С. 848 - 870

Опубликована: Окт. 22, 2021

Язык: Английский

Процитировано

57
The mental health and wellbeing of Unaccompanied Refugee Minors (URMs) DOI
Martha von Werthern,

Georgios Grigorakis,

Eileen Vizard

и другие.

Child Abuse & Neglect, Год журнала: 2019, Номер 98, С. 104146 - 104146

Опубликована: Сен. 12, 2019

Язык: Английский

Процитировано

68
Annual Research Review: A multilevel bioecological analysis of factors influencing the mental health and psychosocial well‐being of refugee children DOI Creative Commons
Stella Arakelyan, Alastair Ager

Journal of Child Psychology and Psychiatry, Год журнала: 2020, Номер 62(5), С. 484 - 509

Опубликована: Дек. 5, 2020

Background This paper revisits the themes of an influential 1993 review regarding factors shaping mental health and psychosocial well‐being refugees to take stock developments in evidence base conceptualisation issues for refugee children over last 25 years. Methods The study deployed a systematic search strategy. initially identified 784 papers, which was reduced 65 studies following application inclusion exclusion criteria. We used later iteration Bronfenbrenner’s bioecological model human development – PPCT consolidate evidence. Results identify range risk protective operating at individual, familial, community institutional policy levels that influence outcomes children. dynamics interaction these influences are linked life course principles socio‐historical time developmental age, proximal processes child agency. Conclusions Actions community, school, all have potential traction on However, suggests greatest impact will be secured by multilevel interventions addressing synergies between ecological systems, approaches engaging (including parenting programmes) facilitating agency developing child.

Язык: Английский

Процитировано

60
Prevention of psychological distress and promotion of resilience amongst unaccompanied refugee minors in resettlement countries DOI
Ritu Mitra, Matthew Hodes

Child Care Health and Development, Год журнала: 2019, Номер 45(2), С. 198 - 215

Опубликована: Янв. 21, 2019

As increasing numbers of unaccompanied refugee minors (URMs) are arriving in Europe, there is a need to investigate which factors promote psychological resilience and improve their mental health. This review aims identify preventive post settlement influences, including living arrangements, access health services, effective treatments that may outcomes.A systematic literature was conducted published papers any language for children (<18 years) entering host country, seeking asylum. Specific studies were eligible if they examined treatment or nontreatment influences on the URM. Thirteen quantitative identified.URMs more supportive arrangements foster care had lower risk PTSD depressive symptoms compared with those semi-independent arrangements. URMs reception settings restricted freedom anxiety symptoms. Regarding help seeking, one study found only 30% parents guardians who could detect need. Two low levels contact services despite high prevalence psychiatric less likely than accompanied receive trauma-focused interventions, cognitive therapy, even practical assistance basic social needs. With regard evaluation, case series identified. Three behavioural therapy improved outcomes. A structured approach (mental counselling alone) did not functional outcomes.Higher support restrictions associated distress. Most receiving dearth evaluating effectiveness this group. There an urgent research pathways efficacy vulnerable

Язык: Английский

Процитировано

58
Mental Health Outcomes of Unaccompanied Refugee Minors: a Rapid Review of Recent Research DOI Creative Commons
Jordan Bamford,

Mark Fletcher,

Gerard Leavey

и другие.

Current Psychiatry Reports, Год журнала: 2021, Номер 23(8)

Опубликована: Июль 1, 2021

Abstract Purpose To examine mental health outcomes of unaccompanied refugee minors during global policy shift. Additionally, to consider service delivery and placement type for this group. Methods A rapid systematic search research published since 2018 which related minors. Data extracted, risk bias assessed reviewed qualitatively. Research Findings We found 181 papers, 14 met inclusion criteria. This review consistently high levels PTSD PTSS among URMs in various contexts. Exposure trauma, being (compared accompanied), female older are associated with poor outcomes. Depression anxiety were discrimination, limited language attainment daily hassles. Summary High rates illness symptoms consistent across national settlement contexts but the quality evidence is variable significant heterogeneity assessment. relate persistence problems accessing services discuss role key post-migration factors influencing outcomes—in particular use detention centres.

Язык: Английский

Процитировано

47
Mental health provision for children affected by war and armed conflicts DOI Creative Commons
Panos Vostanis

European Child & Adolescent Psychiatry, Год журнала: 2024, Номер unknown

Опубликована: Июнь 15, 2024

Язык: Английский

Процитировано

6
Promoting well-being in refugee children: An exploratory controlled trial of a positive psychology intervention delivered in Greek refugee camps DOI

Sevasti Foka,

Kristin Hadfield, Michael Pluess

и другие.

Development and Psychopathology, Год журнала: 2020, Номер 33(1), С. 87 - 95

Опубликована: Янв. 17, 2020

Abstract Rigorously evaluated interventions that target protective factors and positive resources rather than ameliorating negative outcomes in child refugees are rare. To address this, we developed a short, group-based resilience-building intervention called Strengths for the Journey (SFJ), which was designed war-affected children. We conducted quasi-randomized pilot study of SFJ with 72 7- to 14-year-old forcibly displaced children ( M age = 10.76, 64.8% female) three refugee camps Lesvos, Greece. Intervention effectiveness assessed by measuring pre-post changes well-being, self-esteem, optimism, depressive symptoms from before (T1) immediately after intervention/wait-list task (T2). Four focus group interviews were 31 participants discuss their views on effects continued use skills learned. Using repeated-measures ANOVAs, found improvements F (1, 46) 42.99, η p 2 .48, 56) 29.11, .40, 53) 27.16, .34, symptoms, 31) 62.14, .67, compared wait-listed < .05). Focus highlighted importance developing sense togetherness building strengths. Child low-resource settings may benefit brief, first-line such as hope, belonging.

Язык: Английский

Процитировано

42
Transdiagnostic psychosocial interventions to promote mental health in forcibly displaced persons: a systematic review and meta-analysis DOI Creative Commons
Sarah K. Schäfer, Angela Kunzler,

Saskia Lindner

и другие.

European journal of psychotraumatology, Год журнала: 2023, Номер 14(2)

Опубликована: Июнь 12, 2023

Background: People forced to leave their homes, such as refugees and internally displaced persons, are exposed various stressors during displacement, putting them at risk for mental disorders.Objective: To summarize evidence on the efficacy of psychosocial interventions aiming promote health and/or prevent symptoms by fostering transdiagnostic skills in forcibly persons all ages.Method: Four databases reference lists were searched randomized controlled trials this population 11 March 2022. Thirty-six studies eligible, 32 (comprising 5299 participants) included random-effects multilevel meta-analyses examining effects positive (e.g. wellbeing) well moderators account heterogeneity. OSF Preregistration-ID: 10.17605/OSF.IO/XPMU3Results: Our search resulted eligible studies, with 10 reporting children/adolescents 27 adult populations. There was no favourable intervention children/adolescents, 44.4% effect sizes pointing potentially negative yet remaining non-significant. For populations, our showed a close-to-significant symptoms, M(SMD) = 0.33, 95% CI [-0.03, 0.69], which significant when analyses limited high-quality larger clinical compared non-clinical No emerged health. Heterogeneity considerable could not be explained type control, duration, setting, theoretical basis). Certainty very low across outcomes limiting generalizability findings.Conclusion: The present review provides most weak an favouring over control conditions populations but children adolescents. Future research should combine imperative humanitarian aid face major crises studying diverse needs improve tailor future interventions.This is first examine promotion prevention disorders ages.Overall, we found both adults. Excluding high bias, there small adults, Thus, so far, persons.Research efforts need match care needs: While people live low-income countries, majority has been conducted high-income countries.

Язык: Английский

Процитировано

14